Tardy posterior interosseous nerve palsy associated with operated proximal shaft of radius fracture: a rare case report

<p>Tardy Posterior interosseous nerve palsy (PIN) is rare diagnosis. It is a mostly motor nerve. It is prone to injury around radio-humeral joint due to its proximity to joint and neck of radius. Early diagnosis is must to improve recovery. In our case, 39-year-old male presented with tardy PIN palsy secondary to united proximal shaft radius fracture with implant in situ. Electrodiagnostic studies revealed motor radial neuropathy left upper limb. Magnetic resonance imaging (MRI) brachial plexus and screening of cervical spine was normal. After preoperative investigation, patient underwent PIN neurolysis with plate removal. Postoperatively patient started showing improvement after 2 months. Patient recovered to achieve good grip at end of 8 months. Early diagnosis followed by nerve exploration is necessary for good recovery and improvement.</p>

Download Full-text

The “Sign of Horns” deformity following the Thompson’s approach to the proximal radius—A rare case report and literature review

Journal of Orthopaedics Trauma and Rehabilitation ◽

10.1016/j.jotr.2018.01.002 ◽

2019 ◽

Vol 26 (1) ◽

pp. 29-33

Author(s):

Faizaan Rushnaiwala ◽

Naushad Hussain ◽

Avadhut Kulkarni

Keyword(s):

Rare Case ◽

Nerve Palsy ◽

Posterior Approach ◽

Posterior Interosseous Nerve ◽

Rare Occurrence ◽

Proximal Radius ◽

Complex Anatomy ◽

Rare Case Report ◽

Posterior Interosseous Nerve Palsy ◽

Standard Posterior Approach

The Thompson’s approach is used as the standard posterior approach by many surgeons. Although posterior interosseous nerve palsy following the Thompson’s approach has been reported by several authors, isolated paralysis of the extensor digitorum communis (EDC) is a rare occurrence. We report to you a case of isolated paralysis of EDC following the Thompson’s approach in a 14-year-old boy who recovered completely on the 5th postoperative day. Each of the approaches to the proximal radius poses a risk of damage to the posterior interosseous nerve and its branches because of traction. Damage may occur during exposure or implant insertion. Any surgery around the supinator and the radial tunnel region is dangerous because of complex anatomy, lack of intermuscular planes and varying distribution of the radial nerve. Avoiding excessive posterior or ulnar retraction of the EDC and improper dissection can avoid the “sign of horns” deformity following the Thompson’s approach.

Download Full-text

A rare case of posterior interosseous nerve palsy due to ganglion cyst arising from supinator muscle

Journal of Clinical Orthopaedics and Trauma ◽

10.1016/j.jcot.2020.01.012 ◽

2020 ◽

Vol 11 (4) ◽

pp. 665-667

Author(s):

Shaligram Purohit ◽

Akil Prabhakar ◽

Aditya Raj ◽

Nandan Marathe ◽

Swapneel Shah

Keyword(s):

Rare Case ◽

Nerve Palsy ◽

Ganglion Cyst ◽

Posterior Interosseous Nerve ◽

Supinator Muscle ◽

Posterior Interosseous Nerve Palsy

Download Full-text

Posterior Interosseous Nerve Palsy and Proximal Radio-Ulnar Joint Locking after Radial Head and Neck Fracture: A Case Report

Osteosynthesis & Trauma Care ◽

10.1055/s-2008-1004791 ◽

2008 ◽

Vol 15 (04) ◽

pp. 190-191

Author(s):

E. Shears ◽

I. Sargeant

Keyword(s):

Case Report ◽

Head And Neck ◽

Radial Head ◽

Nerve Palsy ◽

Posterior Interosseous Nerve ◽

Neck Fracture ◽

Posterior Interosseous Nerve Palsy

Download Full-text

Acute posterior interosseous nerve palsy caused by septic arthritis of the elbow: A case report

The Journal Of Hand Surgery ◽

10.1053/jhsu.2003.50017 ◽

2003 ◽

Vol 28 (1) ◽

pp. 44-47 ◽

Cited By ~ 13

Author(s):

Hiroyuki Kato ◽

Norimasa Iwasaki ◽

Akio Minami ◽

Tamotsu Kamishima

Keyword(s):

Case Report ◽

Septic Arthritis ◽

Nerve Palsy ◽

Posterior Interosseous Nerve ◽

Posterior Interosseous Nerve Palsy

Download Full-text

Posterior Interosseous Nerve Palsy Due to Schwannoma: Case Report

The Journal Of Hand Surgery ◽

10.1016/j.jhsa.2008.05.033 ◽

2008 ◽

Vol 33 (9) ◽

pp. 1525-1528 ◽

Cited By ~ 10

Author(s):

Jiro Ichikawa ◽

Eiichi Sato ◽

Hirotaka Haro ◽

Satoshi Anayama ◽

Takashi Ando ◽

...

Keyword(s):

Case Report ◽

Nerve Palsy ◽

Posterior Interosseous Nerve ◽

Posterior Interosseous Nerve Palsy

Download Full-text

MYOSITIS OSSIFICANS OF THE SUPINATOR MUSCLE CAUSING POSTERIOR INTEROSSEOUS NERVE PALSY: A CASE REPORT

Hand Surgery ◽

10.1142/s0218810410004679 ◽

2010 ◽

Vol 15 (02) ◽

pp. 115-117 ◽

Cited By ~ 2

Author(s):

Yasuyuki Kitagawa ◽

Takuya Sawaizumi ◽

Hiromoto Ito

Keyword(s):

Case Report ◽

Nerve Palsy ◽

Myositis Ossificans ◽

Posterior Interosseous Nerve ◽

Supinator Muscle ◽

Posterior Interosseous Nerve Palsy

Some tumors or tumorous conditions causing posterior interosseous nerve palsy are well documented, but myositis ossificans causing the palsy of this nerve has not been described. We present a case of posterior interosseous nerve palsy caused by myositis ossificans of the supinator muscle.

Download Full-text